Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Perlo Domenden

Individual provider Physical Therapy Assistant · NPI 1013899749

Perlo Domenden is a Physical Therapy Assistant in University Place, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

2901 Bridgeport Way W
University Place, WA 98466-4614
Phone: (253) 534-7623
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (WA)

Record details

NPI number1013899749
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 23, 2025
Last updated in NPPESJuly 23, 2025
Certification dateJuly 22, 2025
Mailing address2901 Bridgeport Way W, University Place, WA 98466-4614

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